Basic Information
| Provider Information | |||||||||
| NPI: | 1063958056 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TANGNEY | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSW, LSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5666 CLYMER RD | ||||||||
| Address2: | |||||||||
| City: | QUAKERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189513264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155383488 | ||||||||
| FaxNumber: | 2155388692 | ||||||||
| Practice Location | |||||||||
| Address1: | 5666 CLYMER RD | ||||||||
| Address2: | |||||||||
| City: | QUAKERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189513264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155383488 | ||||||||
| FaxNumber: | 2155388692 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2017 | ||||||||
| LastUpdateDate: | 01/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | SW010293L | PA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.